Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

C And T Homecare Services LLC (NPI 1033571658)

Field	Value
Entity Type	Organization
Organization	C And T Homecare Services LLC
Address	27 Laurel Dr
City	Great Neck
State	NY
ZIP	11021
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 23, 2016

Payer Source	Total Paid
Medicaid	$847.7M
Medicare	$0

Key Findings

C AND T HOMECARE SERVICES LLC appears to be effectively a single-payer Medicaid operator: there is no Medicare billing on file and total Medicaid revenue is $847.7M. The absence of Medicare activity means analyses of this entity should focus on Medicaid policy, reimbursement changes, and state-level network relationships rather than Medicare trends.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 representing 98.0% of Medicaid revenue, T1020 1.8%, and T1022 0.1%. This level of concentration indicates that the provider’s financial performance is highly dependent on a single service line.

The code mix and volumes identify the organization as a large-scale in-home personal care operator: T1019 (personal care services, per 15 minutes) has 5.7M claims, $147 avg paid/claim and $830.7M revenue, suggesting the business model is focused on high-volume, minute-based personal care delivery in clients’ homes. This pattern aligns with the listed taxonomy (In Home Supportive Care Agency) and indicates operational emphasis on ongoing, time-based personal assistance rather than episodic medical procedures.

Competitive standing within New York for the primary service is strong: T1019 ranks #9 of 912 providers in-state (99th percentile) and is explicitly noted as notably above typical state volume for this code, which positions C AND T as a market-leading provider for per-15-minute personal care. For T1022 the provider ranks #10 of 334 (97th percentile), indicating a similarly strong state-level position for contracted home health agency services, while T1020 sits at the 75th percentile (#88 of 354) and is characterized as typical and unremarkable.

Operational scale and intensity are evident from claim counts and payment levels: the 5.7M claims reported on T1019 with an average paid/claim of $147 and the 47.5K claims on T1020 (avg $327 paid/claim) point to both very high throughput and a mix of time-based and per-diem billing activity. These volumes imply a large service footprint and significant capacity to deliver routine personal care across many beneficiaries.

The provider’s heavy reliance on T1019 creates concentration risk: because 98.0% of Medicaid revenue is tied to a single code, any state policy, rate change, or eligibility shift affecting T1019 reimbursement or allowable units could materially impact total revenue. Analysts should monitor state Medicaid rulemaking and audit patterns for minute-based personal care codes.

Ancillary and miscellaneous billing is minimal but present: 99199 shows 1.1K claims, $241 avg paid/claim and $257.1K revenue (0.0% of Medicaid revenue) and ranks #9 of 167 providers in-state (95th percentile) with typical, unremarkable volume. This suggests occasional use of unspecified procedure reporting but it contributes negligibly to the overall revenue mix and is not a primary business driver.

The provider has a measurable tenure in the market, with its NPI enumerated on 2016-03-23 (~10 years ago), which provides a multi-year track record to assess operational consistency, claim patterns, and market positioning within New York Medicaid. Given the scale of Medicaid billing, that tenure supports the interpretation of an established, high-volume in-home supportive care operation rather than a new entrant.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	5,650,710	$150	$830.7M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	47,490	$330	$15.5M
T1022	Contracted home health agency services, all services provided under contract, per day	5,700	$220	$1.2M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,070	$240	$257.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

C And T Homecare Services LLC — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	9	910	108,820	$150	$81.8M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	88	350	12,660	$310	$13.1M
T1022	Contracted home health agency services, all services provided under contract, per day	10	330	470	$170	$231.1K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	9	170	80	$20	$68.2K

Nearby Providers

Other providers in the same ZIP code as C And T Homecare Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore-lij Medical PC	NY	Urology Physician	$0	$388.1M
First Choice Home Care Inc	NY	Home Health Agency	$0	$28M
Welllife Network Inc.	NY	Clinic/Center	$0	$22M
Regioncare Inc.	NY	Home Infusion Agency	$40.1K	$9.4M
Jonathan Jonisch	NY	Ophthalmology Physician	$6.4M	$940.9K
Kenneth Graham	NY	Ophthalmology Physician	$5.6M	$64.5K
Brett Rosenblatt	NY	Ophthalmology Physician	$5.5M	$9.3K
David Poon	NY	Ophthalmology Physician	$4.1M	$796.1K
Jeffrey Shakin	NY	Ophthalmology Physician	$4.4M	$82.4K
David Fastenberg	NY	Ophthalmology Physician	$4.4M	$31.2K

C And T Homecare Services LLC — Billing Profile & Reimbursement Data

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C And T Homecare Services LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References